Claims and claim status

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claims

Legacy PAF Co-Pay Relief and PAN grants — reimbursement-claim submissions

Official page read

Phone

No phone listed for this route

Fax

757-952-0119

Reimbursement claims for legacy PAF Co-Pay Relief and PAN grants under the current merger instructions.

Published hours

Not published in this record

Product, plan and location

Confirm the exact product or service
National contact — confirm product and location

Mailing address

TotalAssist 421 Butler Farm Rd. Hampton, VA 23666

Mailing legacy PAF Co-Pay Relief/PAN grant reimbursement claims from July 1, 2026.

The current merger patient page explicitly states that starting July 1, 2026, legacy PAF Co-Pay Relief and PAN grant claims may be submitted through the portal, this fax, or this mail destination. Existing pharmacy-card processing and original grant-period conditions remain separately described by the source. These are charitable grant-reimbursement claims, not insurance payer claims, general case intake, or proof of open funding.

View source ↗ · Source checked 2026-10-22 · PAF information for healthcare professionals ↗ · PAF and TotalAssist contacts ↗

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Find claim-status contacts and document destinations. A billing address, appeal address and original-claim address are not interchangeable.

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Claim number, service dates and billed amount
Submission acknowledgement and remittance
Provider billing identifiers

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